Document Detail


Laparoscopic devascularization of uterine myomata followed by enucleation of the myomas by direct morcellation.
MedLine Citation:
PMID:  15104844     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Most intraoperative conversions of laparoscopic myomectomy to laparotomy reported in the literature occur because of intraoperative bleeding. Devascularization of a uterine myoma at the start of myomectomy would help reduce the blood supply to the uterus and hence to the myoma. Another advantage of the procedure is that the need to separate the myoma from the uterus completely before morcellation, as in conventional laparoscopic myomectomy, is obviated. The tumor can be enucleated only up to about half its circumference by standard enucleation before morcellation is begun. Traction accorded by the 15-mm traumatic serrated-edge claw forceps of the morcellator during morcellation causes progressive separation of the myoma from the uterine wall, thus completing enucleation. In two patients, myomas were devascularized at the outset of myomectomy, in one by intracorporeal suturing of uterine vessels and in the other by laparoscopic bipolar coagulation of uterine vessels.
Authors:
Rakesh Y Sinha; Aparna Hegde; Neeta Warty; Ritu Jain
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of the American Association of Gynecologic Laparoscopists     Volume:  11     ISSN:  1074-3804     ISO Abbreviation:  J Am Assoc Gynecol Laparosc     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-04-23     Completed Date:  2004-06-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9417443     Medline TA:  J Am Assoc Gynecol Laparosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  99-102     Citation Subset:  IM    
Affiliation:
Bombay Endoscopy Academy and Centre for Minimally Invasive Surgery Research LTD, Mumbai, India.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arteries
Female
Hemostasis, Surgical*
Humans
Laparoscopy / methods*
Leiomyoma / blood supply,  surgery*
Ligation
Uterine Neoplasms / blood supply,  surgery*
Uterus / blood supply

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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